Provider Demographics
NPI:1225252844
Name:PALMREUTER, ERIN E (DDS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:PALMREUTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:CASWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:31775 SR 20 STE A3
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5104
Mailing Address - Country:US
Mailing Address - Phone:360-679-9216
Mailing Address - Fax:360-679-9239
Practice Address - Street 1:31775 SR 20 STE A3
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5104
Practice Address - Country:US
Practice Address - Phone:360-679-9216
Practice Address - Fax:360-679-9239
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH224121223G0001X
VA04014119201223G0001X
WADE60233834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2678642Medicaid